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For many of us, the word “outbreak” has taken a more personal meaning this year.For the people of Austin, Indiana, it’s not the first time they’ve dealt with an outbreak.“We’re an itty-bitty town, but we got big city problems,” said Austin resident Ethan Howard.By 2015, the opioid crisis had ravaged Howard’s hometown for years. People became hooked on painkillers and often used needles to take them. The same syringes would be passed from person to person.Dr. William Cooke arrived in Austin in 2004. Back then, he was the town’s only doctor. In fact, he was the town’s first doctor in a generation. He says he saw several issues in the southern Indiana community, including people’s health to poverty.As the opioid crisis started to wrap its grip across parts of the country, Dr. Cooke says he started to see another health issue spread in the community, starting around 2010.“What we saw was a really quick in dramatic rise in Hepatitis C around that time,” Dr. Cooke said. “Any community that has a high Hepatitis C rate is at high risk for an HIV outbreak.”By 2015, the opioid crisis had ravaged the city for years.“Opiates were my devil,” Howard recalled.Howard says his mom convinced him one day to go get tested, after he says he had shared a needle with his cousin.His test revealed he was positive for HIV.“I thought I was dead. I thought it was a death sentence,” Howard said.He wasn’t alone with testing positive for HIV in Austin.“In that first year, we had almost 200 cases,” Dr. Cooke said. “It was almost a quarter of the HIV cases in the state and this is a town of 4,200 people.”Austin had become home to one of the largest HIV outbreaks in rural America ever.Dr. Cooke helped convince then-Indiana Gov. Mike Pence to change his stance on needle exchanges.“It took a few months, but eventually, he signed the executive order allowing us to operate syringe service programs here,” Cooke said.That program, access to addiction recovery services and powerful HIV medicine has led to a dramatic drop in new cases.In 2015, Scott County, Indiana had 157 new HIV cases. In 2019, the county had only five, according to the Indiana Department of Health."The medications today are powerful enough and well tolerated enough that you should not spread the disease to anyone else and you should never worry about dying from HIV,” Dr. Cooke said.Dr. Cooke says Austin is still working to overcome some of the social challenges he found when he first arrived in the community in 2004.It’s been five years after the largest HIV outbreak in Indiana history. Like many communities across the world, this one is now dealing with the impacts of COVID-19.Nurse Jessica Howard is a proud native of Austin. She’s seen the challenges her community has faced over the years. She also sees the good in Austin, pointing to a local church pantry providing food and clothes to those in need.Jessica Howard in charge of coronavirus testing at Dr. Cooke’s office. She grew up in Austin and knows many of the patients that come through the door.As of early July, Scott County has not seen a large amount of coronavirus cases like other parts of the country, but the nurse worries about her patients that struggle with addiction who are now in quarantine and could relapse."These are people these are our people and we have to take care of them and protect them,” she said.Austin has come a long way from where it was in 2015, when HIV spread through a large part of the community.Last year, Dr. Cooke was named by American Academy of Family Physicians the AAFP 2019 Family Physician of the Year for his efforts to help stop the 2015 HIV outbreak.As for Howard, he says medication has made it so HIV is no longer detectable in his blood.He now travels as a musician and points to music as a source of strength that helped him through the darkest of times.“I fought and clawed my way out of a dark place,” Howard said.His fighting spirit is one this small Indiana city has used to battle through crisis before.“We’ve been through a healthcare disaster before,” Dr. Cooke said. “And there is a light on at the end of a tunnel.”It’s a mindset Dr. Cooke says we need now, as we all fight this new crisis of a coronavirus pandemic. 4221
For millions of Americans, the economic fallout of the coronavirus pandemic could be starting to take shape. Late last week, a 0 per week unemployment supplement expired. Also funding from the Paycheck Protection Program has long been depleted. The program was implemented to help employers make payroll during the pandemic.In addition, data released last week indicated the US GDP declined by one-third in the second quarter of 2020.While Congressional Democrats, Senate Republicans and the White House are largely in agreement on the need for a stimulus, agreeing to a framework remains in question. The two sides are at odds over how much of unemployment should be supplemented by the federal government. There is also a debate on offering businesses liability protection from coronavirus-related lawsuits.“Today we have an emergency,” Pelosi said. “A building is on fire and they're deciding how much water they want to have in the bucket. This is very important. Millions of people could've fallen into poverty without the 600 dollars. They're so fussy about any anecdotal information they might have about somebody not going to work because they make six hundred dollars on this, but so cavalier about big money going to companies that shouldn't really be having it."Treasury Secretary Steven Mnuchin met with Congressional leaders on Saturday."There's clearly a subset of issues where we both agree on very much,” Mnuchin said. “We're very interested in extending un-enhanced unemployment insurance, we're very interested in schools, we're very interested in jobs. I think as you know, as the Leader (Mitch) McConnell has said, liability insurance is very important to us. So there's definitely the PPP, there's a lot of bipartisan support." 1759
For this #WednesdayMorning, take a look at #HurricaneLaura with @NOAA's #GOESEast satellite as the hurricane's convection bursts with lightning. As of 8 a.m. EDT, #Laura had winds of 115 mph and was rapidly intensifying in the Gulf of Mexico. Latest: https://t.co/1L8q1zg4eW pic.twitter.com/yyxJkmlfnj— NOAA Satellites (@NOAASatellites) August 26, 2020 360
Fifteen years ago today the lights went out on 50 million people in the Northeast—making it the largest power outage in US history.It happened on Aug. 14, 2003. Wherever you were, the blackout seems like yesterday.On a warm, sunny day at around 4:10 p.m., power plants shut down in three minutes. The widespread power outage cascaded across eight Northeastern and Midwestern states and the Canadian province of Ontario.Life seemed to freeze as trains and elevators stopped. Everything, from cellular service to operations at hospitals and traffic at airports, was halted, as everyone waited for the power to turn back on.An investigation revealed that the start of the blackout could be traced back to an Ohio company, FirstEnergy. 771
Flint schools are finally getting the help they need to provide safe water fountains for their students.Flint Community Schools thanked billionaire Elon Musk and the Musk Foundation last week for donating money to install new water fountains with filtration systems at all its schools.Lead and other toxins were found to be tainting Flint's water supply four years ago, in what's been called the Flint water crisis. Since then, the community has struggled with water contamination problems."We are deeply grateful for the generosity and the budding partnership between Flint Community Schools, the Musk Foundation and Elon Musk," said Flint Community Schools Superintendent Derrick Lopez. "The new water filtration systems will be instrumental in helping our students return to the normalcy of what should be a fundamental right: having access to safe, clean water from water fountains in their school."Flint schools will install new ultraviolet water filtration systems for all its water fountains in school buildings thanks to the 0,350 donation, according to the city of Flint.The former Tesla CEO responded to the school's announcement on Twitter. "You're most welcome. Hope to do more to help in the future," he wrote.Musk first promised to help Flint in a tweet back in July. "Please consider this a commitment that I will fund fixing the water in any house in Flint that has water contamination above FDA levels. No kidding," he wrote at the time.The new fountains and filtration systems will be installed in all 12 Flint schools and the district's administration building by the end of January 2019."The UV water purification method within the water filtration systems will disinfect all lead and bacteria coming from the water pipes to allow students to drink from and fill up water bottles from school water fountains," the city of Flint said in a press release on October 5. 1896